Black Americans are frequently denied access to hospice and palliative care due to structural racism, and many of those communities lack sufficient information to make end-of-life care decisions, new research has found. The HAP Foundation and NORC at the University of Chicago recently published the results of a joint research project designed to gain better […]
When deprescribing medications for hospice patients, providers have to navigate a complex web of factors. But according to some clinicians, the prospect of cost savings often takes precedence over clinical outcomes. Medication costs are among hospices’ biggest expenses, and deprescribing some medications deemed “curative” or “unrelated” to the patient’s terminal diagnosis is a standard practice. […]
Research around hospice care has come a long way. But data gaps exist when it comes to expanding understanding of some aspects of end-of-life care delivery. A range of researchers has amassed a growing base of data on hospice, with some common themes tied to quality outcomes, costs, length of stay and general inpatient care. […]
As Jimmy Carter marks his sixth month in hospice care, the provider community is raising awareness by saluting the former president. The National Hospice and Palliative Care Organization (NHPCO) convened a group of hospice leaders at Times Square in New York City to commemorate Carter’s hospice experience. Some hospice executives have said they believe that […]
Past payment model demonstrations that included community-based palliative care offer a window into how these services could generate cost savings and improved quality. Among those demos is the Medicare Care Choices Model (MCCM), which ran between 2016 and 2021. The model illustrated palliative care’s potential for driving down health care costs for seriously ill patients, […]
Rising regulatory scrutiny around length of stay may be having adverse impacts on health care costs and quality, hospice leaders said in a recent Congressional briefing. Fear of regulatory attention, audits or post-payment reviews related to longer stays could drive some hospice providers to discharge patients who can still benefit from their services, according to […]
The health care space — including hospice — is increasingly shaped by numbers. During the past several years hospice providers have had to become experts in data management in order to remain competitive. Data has become invaluable to negotiations with referral and payer sources, as well as to regulatory compliance. But providers can also benefit […]
A majority of people in the United States know the types of end-of-life care they wish to receive, but only 22% have documented their wishes. Significant variations in advance care planning utilization also exist among racial and ethnic groups. About 25% of those who have documented their wishes are white. African Americans represented 22%, Hispanics […]
Though evidence shows that longer hospice stays reduce costs, providers are still walking a regulatory tightrope. On one hand, longer hospice stays can lead to improved patient and family satisfaction and greater cost saving opportunities. On the other hand, regulators often treat stays longer than six months or frequent recertifications to be red flags that […]
Hospices will need to leverage creativity to thrive in a Medicare Advantage reimbursement environment. Often called the Medicare Advantage carve-in, the hospice component of the value-based insurance design (VBID) model is now in its third year. Recently, the U.S. Centers for Medicare & Medicaid Services (CMS) extended the demo through 2030. Though its ultimate outcome […]
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